Individual
RANDI E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 15TH ST, AUGUSTA, GA 30901-2607
(762) 375-3074
Mailing address
905 15TH ST, AUGUSTA, GA 30901-2607
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
Primary
230443
SC
Other
Enumeration date
06/05/2026
Last updated
06/05/2026
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